Active NPI
Alejandro Caribas Mendible, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Coral Gables, FL
National Provider Identifier
1013204122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 19301
- Practice address
- 2030 S Douglas Rd
Suite 506.
Coral Gables, FL 33134-4615 - Phone
- (904) 401-2566
- NPI assigned
- Jul 10, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 19301 | FL | Primary |
Addresses
Primary practice location
2030 S Douglas Rd
Suite 506.
Coral Gables, FL 33134-4615
Mailing address
3425 Diamond Falls Cir
Suite 506.
Land O Lakes, FL 34638-6205
Phone (786) 302-6704
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160205002262 | FL | Order and Referring Only - Other (Physician) | 3072817352 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19301 | FL | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ac O&M Services LLC | Current | Accepting new patients | |
| One Oral Surgery | Oral and Maxillofacial Surgery | Current | Accepting new patients |
Networks
- FL HMO C-SNP
- FL HMO D-SNP
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulatory Surgical Clinic/Center
- Lutz, FL
- NPI 1396582177
Oral and Maxillofacial Surgery
-
- Oral and Maxillofacial Surgery Clinic/Center
- Lutz, FL
- NPI 1497221352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1013204122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3425 DIAMOND FALLS CIR",
"address_2": "SUITE 506.",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346386205",
"telephone_number": "786-302-6704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 S DOUGLAS RD",
"address_2": "SUITE 506.",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331344615",
"telephone_number": "904-401-2566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARIBAS MENDIBLE",
"first_name": "ALEJANDRO",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-10",
"last_updated": "2024-06-27",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "FL",
"license": "19301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.